title: Future delivery of the Drug Interventions Programme: do the benefits justify the costs?
abstract: The Drug Interventions Programme is an initiative employed by the Home Office in 2003 to integrate the Criminal Justice System with drug treatment services with the ultimate goal of reducing acquisitive crime. Drug Action Teams employ this scheme on a local level by providing a broad range of services for misusers in the community. Although much attention has been placed on societal gains, there is an added benefit in improving the health outcomes of those referred. Opioid replacement therapy decreases illicit heroin use, reduces mortality and maintains contact with misusers allowing for psychosocial intervention. The Drug Interventions Programme provides direct access to such treatment in an otherwise high-risk and disengaged population. Anecdotal evidence of the programme is positive; with improved mental and physical health in offenders and a reduction in hospital admissions. However, monitoring health outcomes in offenders is challenging as long-term follow-up is difficult, poor compliance is an issue and coercive referrals may introduce a reporting bias. Drug Action Team services are cost-effective due a lower consumption of health and social care and reduced offending levels. The Drug Interventions Programme has been successful in maintaining offenders in treatment and the Home Office claim its role in reducing crime is cost-saving. Future delivery of the initiative is at risk due to spending reductions, competing interests and a focus towards payment by results. Opposition to future implementation of the Drug Interventions Programme must be met with evidence for its effectiveness in order to ensure its continued investment.
authors.affiliation: University of Sheffield, Western Bank, Sheffield S10 2TN, United Kingdom. Electronic address: mda08ao@sheffield.ac.uk.
authors.forename: Andrew
authors.initials: A
authors.lastname: Osborne
mesh_terms: D003362:Cost-Benefit Analysis; D003415:Crime / Q000517:prevention & control; D003416:Criminal Law; D006293:Health Promotion; D006801:Humans; D058850:Opiate Substitution Treatment / Q000191:economics; D015397:Program Evaluation; D011788:Quality of Life; D019057:Quality-Adjusted Life Years; D012309:Risk-Taking; D019966:Substance-Related Disorders / Q000188:drug therapy*; D006113:United Kingdom
keywords: Acquisitive crime; Criminal Justice System (CJS); Drug Action Team (DAT); Drug Interventions Programme (DIP); Opioid replacement therapy; Public Health England (PHE)